Individual provider Active NPI

Neszta Wahmhoff, PAC

  • Medical Physician Assistant
  • Madison, WI
National Provider Identifier
1053542704
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2464 Issued in WI
Practice address
4122 E Towne Blvd
Madison, WI 53704-3732
Phone
(608) 242-6855
Fax
(608) 242-6848
NPI assigned
Jul 29, 2009
Last updated
Jan 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2464 WI Primary

Addresses

Primary practice location

4122 E Towne Blvd
Madison, WI 53704-3732

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090831000357 WI Practitioner - Physician Assistant 4183779978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2402 Winnebago St
Madison, WI 53704-5341
Phone (608) 287-2770

600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6400

7102 Mineral Point Rd
Madison, WI 53717-1706
Phone (608) 828-7603

7974 Uw Health CT
Middleton, WI 53562-5531

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
87.78
Promoting interoperability
77
Improvement activities
40
Cost
75.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2464WIMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jun 2, 2011 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jun 2, 2011 Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Jun 2, 2011 Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients
University of Wisconsin System Non Payroll Past Accepting new patients

Locations

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

2402 Winnebago St
Madison, WI 53704
Phone (608) 242-6840

4122 E Towne Blvd
Madison, WI 53704
Phone (608) 242-6855

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

7102 Mineral Point Rd
Madison, WI 53717
Phone (608) 828-7603

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1053542704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 E TOWNE BLVD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043732",
            "telephone_number": "608-242-6855",
            "fax_number": "608-242-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHMHOFF",
        "first_name": "NESZTA",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-29",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "2464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.